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Can it really be THAT bad?

viagra cialis online pharmacy pharmacy is a popular drug, and for good reason!  It does exactly what it says it will, and has a very high efficacy rate.  It has saved marriages, sanity, and self-images.  It even allows a sexual relationship to continue well into your elderly years.  All these things make it great, so what is this post about?  Well, undoubtedly, you've seen at least one commercial for it (or its siblings, Cialis or Levitra).  Consistently mentioned is the interaction with nitrates, usually stated as, "<this drug> is not for everyone.  Ask your doctor first if you are taking nitrates for chest pains..."  Problem is, people aren't usually too willing to talk about the 'little blue pill,' and are unlikely to check with their doctor about compatibility with their current medications.  What do nitrates and other blood pressure medications do to Viagra?



Well, first we have to understand how Viagra works.  An erection is achieved through the dilation of the blood vessels in the base of the penis.  This allows the blood to flow into it, allowing it to become turgid.  The problem in erectile dysfunction is that these vessels don't dilate properly, so an inadequate volume of blood reaches the penis, causing a flaccid state.  Viagra works by allowing these vessels to open up more, working with a common component of our blood called nitrous oxide.  Nitrous oxide is actually the component that allows blood vessels to dilate, so Viagra works to prevent this particular component from breaking down in the blood, allowing for more dilation.



Nitrates are given for chest pains, as they cause rapid dilation of the arteries around the heart and lungs (fixing the main problem of Angina Pectoris, which is basically just clinical chest pains).  It does this by adding nitrous oxide to the blood.  At this point, you should see the relation these two drugs have, they both work on the same component in vasodilation.  The problem is this: with Viagra's ability to keep nitrous oxide around longer, and nitrates ability to add a large amount of nitrous oxide to the blood, the two together cause massive and widespread dilation of the blood vessels ALL OVER the body, causing a sever drop in blood pressure and possibly death.



Far too many people are unwilling to talk to a doctor about this, however, and are risking quite a lot in doing so.  So what are people to do who are on a nitrate, but want to treat their ED?  Simple, Caverject!  Also known as aprostadil, this drug has NO interaction with any erectile dysfunction medication, and works instantly.  Many elderly use this, as quite a few are on nitrates by default.  It DOES involve a needle, but it is a very small one (painless) and works faster than Viagra in achieving and maintaining an erection.



Bottom line: never be too embarrassed to talk to your doctor.  There are always other solutions, and it may just save your life.

THE FOLLOWING IS AN ENCORE TIM MOORE BLOG:

The FDA approved of the drug online pharmacy thirteen years ago this week.

Designed to treat men with erectile dysfunction, mercifully shortened (pardon the pun) to “ED” for the sake of the incessant TV commercials. Of course, other drugs such as Cialis and Levitra arrived “shortly” thereafter, with the same…uh…mission.

When Pfizer first developed Sildenafil (the chemical name for Viagra), it was for the treatment of high blood pressure. Chemists found that although it had little effect on hypertension, it did cause a certain “side effect”. Company officials quickly saw the commercial “upside” of this new drug—and in two short years—a very quick time for the FDA to do anything, Viagra hit the market. Getting former Senator and presidential nominee Bob Dole to endorse the drug was a huge coup as well. The History.com website says that although unconfirmed, the drug was invented by…are you ready?: PETER DUNN and ALBERT WOOD. (Very funny)

OK…so this is really about the TV ads. Frankly, no matter how “subtle” they attempt to be, there is no escaping the innuendo—and parents across America are embarrassed on what seems like an hourly basis as they endure these spots while watching TV with their children. Even when they put Mom and Dad in side-by-side bathtubs, the implication is rather obvious.

I’m waiting for my 11 year old to ask me what E.D. is. Guess “that talk” will happen sooner than I had planned….thank you, pharmaceutical companies! What’s worse is watching TV with your teenage daughter when these ads come on. Of course, they have had to survive watching TV with men when feminine hygiene products are advertised.

For Viagra, at $8-$10 a pill, the first-year take alone was in the billions of dollars. So, do any of them really NEED to advertise? Stealing market share from each other means they must feel it’s necessary, but the onslaught of ads is getting to be a bit much.

Below is one of the more creative ads—but as you’ll see, the teenage girl-in-the-house makes it all so creepy (for all of us) Enjoy!



http://www.youtube.com/watch?v=dFuuHPkORsA

My advice is to have a supply of topic-changers handy whenever these spots come on TV. Having the remote in your hand to MUTE is a good idea , too. Let’s practice: When the TV man says: “Are you having trouble with….E.D.?”, you:

a) Hit the MUTE button and
b) Say, “hey, how ‘bout them Red Sox?”

Good luck!

If you’d like my blog in your inbox daily, just let me know. It won’t cure E.D., but it is FREE….and that’s “hard” to beat! (ahem) tim.moore@citcomm.com

See also: viagra | cheap cialis | 


present participle. Totally un-Christmas-like. Um, make that un-Cialis-like.

Related terms: actual-boner-giving, non-boner-inducing, non-boner-ifying.

Real citation: "Mexicans eat turtle eggs because they believe that turtle eggs give them boners. Turtle eggs do not give them boners. Mexican environmentalists attempt to replace non-boner-giving turtle eggs with actual-boner-giving models. Environmentalists sell out long-term goals (stop the objectification of women) for short-term goal (stop the extinction of sea-turtles)."
(ACS, August 25, 2004, http://twistyfaster.typepad.com/i_blame_the_patriarchy/2005/08/huevos.html#comment-8840140)

Made-up citation: "'Boner-giving or non-boner-giving?' is the 'Paper or plastic?' of the pharmaceuticals industry."